Individual
ERICKSON DIZON LIWAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
121 N BEAUDRY AVE, LOS ANGELES, CA 90012-2009
(818) 398-1554
Mailing address
121 N BEAUDRY AVE, LOS ANGELES, CA 90012-2009
(818) 398-1554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013482
CA
Other
Enumeration date
12/11/2019
Last updated
11/05/2025
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